SOCW 310 Exam 1 (Ch 5-7) Flashcards

1
Q

Role Preparation

A

the process of developing a shared expectation for the helping process, a
shared role definition of the social worker and of the client, and a mutual understanding of client rights and obligations, including informed consent and limitations to the rights of confidentiality

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2
Q

3 Stages of Role Preparation

A

1.Determine your client’s
expectations for the helping
process

  1. discussing the helping process
  2. discussing informed consent, confidentiality, and agency policies
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3
Q

1.Determine your client’s
expectations for the helping
process

A

-first step=meet client where they are at
-Be client centered in understanding what
your client hopes to gain from working
with you
-Will be helpful in later stages of
assessment and goal setting

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4
Q
  1. Determine your clients expectations for the helping process (Clients Responses)
A

-Expectations stated in terms of change in personal circumstances
“I don’t want to hear these voices anymore”

-What the social worker will do to facilitate change
“I need to help him understand how much he is hurting me”

-What the helping system will do to facilitate change
“I need to get up the list for subsidized housing”

-Hesitation- personal or uncertain

-Concerns regarding stigma (negative judgments that are made about people based on membership in socially constructed categories)
“I don’t know what my friends will think about me coming here.”

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5
Q
  1. Discussing the helping process
A

By the end of this discussion, you should have:
◦ Negotiated an agreement about the basic expectations and hopes for the types of helping provided by you and your agency
◦ Clarification may be necessary if expectations are not consistent with agency role; such as advice seeking or forcing behavior change on others.
◦ Shared information about the methods of helping provided by
you and your agency
◦ Part of informed consent; make sure that it is understandable based on your
client’s developmental level
◦ How would you explain the role of a family services specialist (CPS) to a 3rd
grader? The role of vocational rehab to an adult with a disability?
◦ Discussed the process of change
◦ Lend confidence that the client will be able to overcome whatever
circumstances, without promising
◦ Outline the change process
◦ Discussed the Roles of Social Worker and Client
◦ Clarify what you can or cannot do in the helping process
◦ Describe the purpose of your work
◦ Stress collaboration
◦ Discuss reporting authority

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6
Q
  1. communicating informed consent, confidentiality, and agency policy
A

The SW/Client Relationship exists within a
context of limits, possibilities, and rights.
◦ Confidentiality and its limits
◦ Obtain informed consent for treatment
◦ Share agency policies and legal limits
◦ Do so in a way that is understandable to
developmental level of client
◦ Avoid jargon

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7
Q

Facilitative Conditions

A

Empathy, Authenticity, and Respect

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8
Q

Historical Bias

A

Carl Rogers (1957) conceptualized as
empathy, unconditional positive
regard, and congruence
◦ Basis for client centered treatment
& motivational interviewing
◦ If using these three components,
relationship is more likely to be
collaborative and strengths based

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9
Q

Empathetic Communication

A

the ability of the social worker to perceive accurately and sensitively the inner feelings of the client and to communicate their understanding of those feelings in language attuned to the client’s experiencing of that moment
◦ Mirroring an affective response (emotional/physiological)
whereby the listener vicariously experiences the speaker’s
emotions.
◦ Self-Awareness/Emotional Regulation allows the listener to
perceive their own internal emotional experience and its
source while realizing that the speaker is a separate individual
◦ Empathic Action the verbal processing of communicating
what the Social Worker understands; includes body language
and physical attending

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10
Q

Sympathetic Responding

A

occurs when the SW experiences
significant emotional reactions, but focuses on their own experiences rather than those of the clients.
◦ A sometimes subtle shift from the CLIENT’S point of view to
the SOCIAL WORKER’S point of view
◦ Can contribute to compassion fatigue

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11
Q

Perspective Taking

A

Making an educated guess about someone’s emotional experience
-Objectivity
-Educated guess based on personal
experience, vicarious experiences, and from study

-The social worker may have very different personal experiences from their clients

-People never experience and circumstances in the same way

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12
Q

Accurately Conveying Empathy

A

Surface Level Empathy- direct reflection of the feelings and concerns that clients express, usually using the same vocabulary

Reciprocal Empathy- focus on direct feelings client expresses; expands the language of feelings that are used in conversation
◦ What if you are inaccurate?
◦ What if you put words into client’s mouth due to power differential?

Additive Empathy- process of reflecting the full range and intensity of the surface and underlying feelings that clients convey through verbal and nonverbal communication– additive in nature
◦ Requires a working relationship that is fairly intimate
◦ Ordinarily used in psychotherapy/clinical social work

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13
Q

Why use empathetic communication?

A

-facilitated the intervention process
-accurately assessing clients problems
-understanding anger and deescalating risk of violence

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14
Q

Authenticity

A

-is the sharing of self by relating in a
natural and genuine manner

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15
Q

Benefits and risks of authentic responses

A

-Show empathy, understanding, and models appropriate communication and problem solving strategiesDue to focus on -SW, can make client’s feel as though they are not being focused on.

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16
Q

Types of authentic responses

A

Self-Involving Statements- are messages that express the social worker’s personal reaction to the client
* Personalize messages by using the pronoun “I”
* Share feelings that lie at varying depths
* Describe the situation or behavior in neutral or descriptive terms
* Identify the specific impact of the situation or behavior on
others

17
Q

How to address concerns in the helping process

A

Precede self-disclosure with open-ended questions or empathic responses about their request

Lean into issue vs skirt issue where appropriate

After fully exploring a concern; response authentically

18
Q

Negotiated Relationships

A

those in which social workers
assume the roles of compromiser, mediator, and enforcer in addition to the more comfortable role of counselor. This
most often occurs in social work-client relationships where the client is involuntary

19
Q

Declining and setting limits

A

(often relates to ethical situations)
Practice assertiveness:
-not passive, not agressive
-balances respect for both self and client

20
Q

Verbal Following Skills

A

-Furthering Responses
-Reflection Responses
-Closed-Ended Questions
-Open-Ended Questions
-Summarizing
-Seeking Concreteness
-Providing and Maintaining Focus

21
Q

Furthering responses

A

those utterances and actions that,
rather than convey a complete thought, send the message that you are listening attentively and invite further sharing.

◦ Minimal Responses (Mmhmm)
◦ Nonverbal Minimal Prompts (nodding, facial expressions)
◦ Verbal Minimal Prompts (Yes, I see, tell me more)
◦ Accent Responses (Repeat a certain part/word/phrase)

22
Q

Reflective responses

A

Simple Reflections: Restate using the same or similar language
-When reflecting emotions; this is the same as the surface-level empathic responses from Chapter 5.
-Convey understanding and encourage further exploration

Complex Reflections: Go beyond what the
client has directly stated or implied, adds
meaning, conveys more complex picture. These reflections add content.
-When reflecting emotions; this is used in reciprocal or additive level

Reframing: When a complex reflection is used to suggest new ways of thinking about a problem; shifts understanding to thinking about strengths/possibilities

23
Q

considerations for reflective responses

A

-No “Formula”
-Understanding of your orienting theoretical perspectives of social work practice is important in how you approach the relationship and collaborate with clients
-Important to be able to have good self awareness and self-regulation skills
-Pay attention to both to feeling and words

24
Q

Close-ended questions

A

Define a topic and restrict responses to a few words. Work well if you need to make a direct appeal for specific information

25
Open-ended questions
Cannot be answered with single word answers. Invite an elaborated, expanded answer.
26
Formulating open-ended questions
-Use of words: Who, What, Where, When, and How -Open ended questions can be on a spectrum from directive to nondirective -We use “polite directives” often in social work to obtain information
27
Seeking concreteness
* Asking clients to communicate with specificity * Counter to how we often approach conversation * First Challenge: Recognize generalized statements * Second Challenge: Help clients learn how to respond more concretely * Third Challenge: Describe your own experience in a language that is precise and descriptive
28
When to seek concreteness
-Check perceptions -Clarify vague or unfamiliar terms -Elicit Specific Feelings -Focus on the Here and Now -Elicit Sequence of Events
29
Maintaining focus
1. Selecting Topics for Exploration * Depending on setting, you’ll learn a “flow” of how to focus * Can be helpful to enter meetings with flexible outline; while also allowing client choice 2. Exploring Topics in Depth * Be willing to “go there”- can feel uncomfortable at first 3. Managing Obstacles to Focusing * What are some potential obstacles to focusing that you can think of?
30
Stages of change
pre-contemplation contemplation preparation action matenence relapse
31
Impact of counterproductive communication patterns
ALL SOCIAL WORKERS EXPERIENCE COUNTERPRODUCTIVE COMMUNICATION PATTERNS -Self-Assessment -Supervision -Client Feedback -What Social Work value does this relate to?
32
Facial Expressions
RECOMMENDED * Direct Eye Contact (Except when culturally prescribed) * Warmth and concern in facial expression * Eyes at same level as client’s * Appropriately varied and animated facial expressions * Mouth, relaxed, occasional smiles NOT RECOMMENDED * Avoidance of eye contact * Staring or Fixating on a person or object. * Lifting eyebrow- critically * Eye level higher or lower than client * Nodding excessively * Yawning * Frozen/rigid facial expression * Inappropriate slight smile * Pursing or biting lips
33
Posture
RECOMMENDED Arms and hands moderately expressive; appropriate gestures Body leaning slightly forward; attentive but relaxed NOT RECOMMENDED Rigid body position, arms tightly folded Body turned at an angle to the client Fidgeting with Hands Squirming or Rocking in Chair Leaning back of placing feet on desk Hand or fingers over mouth Pointing finger for emphasis
34
Voice
RECOMMENDED Clearly audible, not loud Warmth in tone of voice Voice modulated to reflect nuances of feeling and emotional tone of client Moderate speech/tempo NOT RECOMMENDED Mumbling/speaking inaudibly Monotonic Voice Halting speech Grammatical errors Prolonged silences Excessively animated Slow, rapid, or staccato speech Nervous laughter Consistent clearing of throat Speaking loudly
35
Physical Proximity
RECOMMENDED * 3-5 feet between chairs NOT RECOMMENDED * Excessive closeness or distance * Talking across desk or other barrier
36
Verbal Barriers to communication
-Reassuring, Sympathizing, Consoling, or Excusing -Advising or Giving Solutions Prematurely -Using Sarcasm or Employing Humor Inappropriately -Judging, Criticizing, or Placing Blame -Trying to Convince Clients about the Right Point of View through Logic, Lecturing, Instructing, or Arguing -Making a Declaration Rather Than Inviting a Discussion -Threatening, Warning or Counterattacking
37
What a client response tells us
DOING WELL, GOOD=If clients continue to explore the problem, express pent-up emotions, engage in deeper self exploration, volunteer more material spontaneously, or affirm your response MAY HAVE ENGAGED IN COUNTERPRODUCTIVE COMUNICATION, BAD=If clients reject you response, change the subject, ignore your message, appear mixed up or confused, become supervision, or argue/express anger